Individual
DR. GREGORY RICHARD GROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 784-2554
(207) 777-1439
Mailing address
1875 UNIVERSITY AVE, PO BOX 1655, DUBUQUE, IA 52004-1655
(563) 556-6895
(563) 556-3618
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
063098176
IL
2085R0202X
Diagnostic Radiology Physician
32391
IA
2085R0202X
Diagnostic Radiology Physician
40136020
WI
2085R0202X
Diagnostic Radiology Physician
Primary
MD18651
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033189105
—
ME
05
—
2175521
—
IA
Enumeration date
01/23/2006
Last updated
03/31/2022
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